Search › New Mexico › 171100000X
Carl Wagner, D.O.M
NPI 1083780357 · on the registry since 2006
Practice
- Address
- 1332 Gusdorf Rd
Ste. E
Taos, NM 87571 - Phone
- (505) 758-2700
- Fax
- (505) 758-2700
- Organisation at this address
- Bluebird, Inc.
Honu Consulting Llc
White Crane Clinic, P.A.
Taos Therapeutic Massage LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico